Columbus Revision

Aesculap® Columbus® Revision
Tibia First and Femur First

Surgical Technique for CoCr and AS version
Aesculap Orthopaedics
The innovative Revision knee system
Based on the very successful design of the Columbus® knee

endoprostheses, the development of the Columbus® Revision
System was just a logical consequence.
A further step towards a comprehensive knee portfolio –
Precise. Safe. Modular.
Navigated implantation performed by CT-free OrthoPilot®
navigation system.
Manual surgical technique.
AS-coated implants for reduced wear and as allergy solution
available on request. For more information please see the
implant ordering details.
2
Preoperative planning 4
Brief instructions for operative steps 6
Operative steps – Tibia First 8
Option: Applying reference marks 8
Preparation of the tibia 9
Tibial resection variants 10
Tibial resection 12
Determining the size of the tibial components 13
Option: Gap measurements 15
Preparation of the tibial box 16
Preparation of the femur – Option: Femur First 19
Distal femur resection 20
Completing the femur resection 22
Preparation of the femoral box 25
Assembly of the femoral trial box 27
Preparation of the patella 30
Assembling the final implants 31
Columbus® Revision implant dimensions and design 34
Compact matrix of implants 40
Implant ordering details (for CoCr and AS version) 42
Overview of instruments, X-ray templates and saw blades 50
Compact overview of instruments 52
Compact matrix of implants (for cutting out) 64
3
Preoperative planning
To achieve a succsessful treatment with the Columbus® Revision Indication:

knee system, the bone defects and maybe soft tissue dysfunction
Severe knee joint conditions which cannot be treated
have to be analysed carefully. For revision of primary TKA the precise
through other therapies:
failure cause of the preceding arthroplasty has to be clearly known
Degenerative arthrosis
in order to avoid a repeat of these errors. Therefore the pre- and
Rheumatoid arthritis
postoperative X-rays are needed.
Posttraumatic arthrosis
Symptomatic knee joint instability
Further pre conditions to ensure an optimal surgical result are: Knee stiffness
Function of extensor mechanism Deformities of knee joint
Removal of primary prosthesis Revision surgeries
Bone preservation
Restoration of proper axis alignment
Contra indication:
Functional stability
Situation of soft tissues See instructions for use TA012000
Restoration of joint line
Max. bone loss at distal femur:
For preoperative planning, Columbus Revision X-ray templates
® F1-F3: 19 mm
are available which support to define the following values: F4-F7: 24 mm
Angle between anatomical and mechanical femur axis Max. bone loss of tibia:
Heights of resections T0-T1: 39 mm
Size of implants T2-T3: 43 mm
Entry point of intramedullary alignment T4-T5: 47 mm
Need and dimensions of wedges and extension stems
For more information about indication and contra-

indications, please refer to the instructions for use
TA012000.
4
▲ ▲ 2
▲
▲
5
▲ 1
3 2
4
▲ 3
1
4
▲
▲
▲
Please note: Tibial planning: Femoral planning:

Columbus® Revision MC (Medium Constraint) gliding surfaces Definition of the new tibial Definition of the new
distribute rotational forces via the peg into the femur and tibia jointline (14 mm proximal femoral jointline (35 mm
components, that means there is a potential higher risk of fibula head) (1) distal of the tuberculum
loosening. The HC (High Constraint) gliding surfaces additionally adductorium) (1)
Definition of tibial resection
pick up varus/valgus forces. Because of that Aesculap requires for
linie (hemi spacer cut or Measurement of LDFA (2)
the Columbus® Revision System to use the femur and tibia compo-
plane) (2)
nents only with extension stems. Deviant behaviour is decision of Evaluation of femoral
the surgeon. Evaluation of requested resection linie (spacer cut
spacer (here medial) (3) or plane) (3)
In case of a Columbus® PS implant revision, the torx screw driver
NE358R to loosen the PE fixation screw has to be ordered Evaluation of stem Evaluation of requested
additionally. diameter/-length (4) spacer (here lateral) (4)
For implantation of a Columbus® CR femur with CR/DD/UC PE Evaluation of tibial Evaluation of stem
gliding surface and Columbus® Revision tibia plateau, the requested rotation (intra operatively) diameter/-length (5)
primary trial femur respects the femur for the operated side Evaluation of femoral
and the drill with stop for the femur pegs have to be ordered rotation (intra operatively)
additionally.
In order to be able to perform proper ligament balancing with
the distractor, the soft tissue management set NQ414 has to be
ordered.
Please ensure that the amount of received implants and instruments
sent with an individual shipment via Aesculap Loan Service are
complete and the ones your patient needs for surgery, based on your
pre-operative planning.
5
Brief instructions
1 4
Set ant. reference mark and remove implants / Ant. Referenzmarkierung Gap balancing by distractor / Messung der Bandspannung mit Distraktor
anbringen und Implantate entfernen
2 5
Resection of proximal tibia / Proximale Tibiaresektion Tibia box preparation by drill / Tibiabox aufbohren
Tibia box broach preparation. Define femur size / Tibiabox mit Kompressions-
meissel präparieren. Femurgrösse bestimmen
3
Gap balancing by spacer. Tibia and trial stem selection / Bandspannungsmessung
mit Distanzblöcken. Auswahl von Tibiaplateau und Probeschaft
option
6
6 9
Resection of distal femur / Distale Femurresektion Femoral box preparation by rasp. Trial box impaction / Femurbox aufraspeln und
Probebox einführen
ML
7
Resection of femoral APC geometry / APC Femurresektion
10
Fix femoral box and stem / Femurbox und -schaft fixieren
8
Resection of femoral box geometry / Femurbox Resektion
11
Adapt trial values to definitive implants / Werte der Probeimplantate auf die
def. Implantate übertragen
7
Operative steps – Tibia First
OPTION: Applying reference marks
1 2
Assemble distal femur contact plate NQ799R and joint Remove all primary implants.
line positioner NQ798R. Set anterior mark where primary
▲
Please note:
femoral implant ends proximal. Keep value of joint line
Ensure with cross check of implant availability matrix
positioner by tightening fixation screw.
(see annex) that you will have the implants you need from
preoperative planning.
8
Preparation of the tibia
2/3
1/3
Define correct entry point for stepped drill NP410R and

intramedullary rod NE376R or reamer e. g. with support of
X-rays, by AP distance 1/3 to 2/3 or by trial tibia plateau.
Insert rod or ream canal until reamer with connected
handle NE198R has stable fit and until required depth
mark for tibia extension stems on reamer is reached.
Because of proximal resection bone the reamer has to be
inserted deeper to ensure correct depth for extension stem.
For cemented stems a minimum 1 mm cement mantle
around is recommended.
9
Tibial resection variants
4 5
1. Version:
Use stylus NE425R to determine cut depth. To see where
saw blade ends, use check device NM350R.
2. Version:
Ensure that posterior nose of alignment system (N) is at
N the same level as the reamer mark. Connect tibia cutting
guide with intramedullary connection rod. Press button
Attach alignment system on reamer until posterior on opposite side (see small image) of intramedullary nut
nose (N) is at same level like reamer mark. Tighten fixation to select cut depth. See scale on the intramedullary
screw. Connect tibia cutting guide with intramedullary connection rod device.
connection rod.
3. Version:
Attatch complete alignment system inclusive cutting
Option:
guide on reamer. Use check device in cutting slot and
Check axis with control rods NE331R and NP471R. go down until contact with tibia plateau. Tighten the
fixation screw. Select cut depth by intramedullary
connection rod device.
B
A
D
C
A: NQ648R Intramed. sliding rail, B: NQ649R Intramed. nut, C: NQ650R/NQ651R Asymm. cutting guide (Left/Right),
D: NQ647R Intramedullary connection rod
10
6 7
Fix tibia cutting guide with two parallel headless and one Release rod after turning
convergent head pin in proper rotational position. toggle counter-clockwise
to 11 o`clock position
Remove alignment system and reamer.
‘Unlocked’.
11
Tibial resection
9 10 11
Perform tibia cut. Option:

Measure the extension and flexion gaps with spacers –
Option: and if needed with hemi spacer clicked below to ensure
stability.
With this tibia cutting guide it is also possible to perform
the 5, 10 or 15 mm hemi spacer cut by moving distal. If necessary perform release and test again.
Keep in mind where the hemi spacer ends sagittal.
t = 8.5 mm
If needed you have the opportunity to simulate joint

stability after a performed Columbus® distal femoral
resection of 9 mm by adding the femoral cut spacer.
Use 18 mm spacer to start as this defines the minimum
requested space (PE inclusive tibia plateau = 10 mm;
femur implant distal = 9 mm, dorsal = 8 mm).
12
Determining the size of the tibial components
12 13
1. Option: Option:
Insert reamer again until required depth mark. Select trial Select trial tibia hemi spacer of correct size below corre-
tibia plateau with best fit in ML and AP. Define position sponding side of trial tibia plateau.
with chimney NQ677R guided by the reamer. Fix chimney
by using anterior excentric screw – note value. Determine
best rotational position.
Option:
Check axis with rod inserted in the connected handle.
The tibial offset is:
T0/T0+ = ± 4 mm
A
T1-T5 = ± 6 mm B
A
14
▲
Please note:
The reamer mark defines the length of stem and the Fix trial tibia plateau in correct ML and AP position with
height of tibia box together. headed pin. Remove reamer.
See anterior marks where your hemi spacer ends in ML
direction (A) for cuts. Central mark (B) defines the middle
of trial tibia plateau.
13
Determining the size of the tibial components
15 16
2. Option: Option:
Select trial tibia plateau with best fit in ML and AP. Connect trial hemi spacer in correct size below corre-
Use ML positioner NQ676R with required trial stem inter- sponding side of trial tibia plateau.
connected. Define best rotational position.
Place trial tibia plateau with screwed trial hemi spacer
▲
Please note: below on the tibia plateau. Insert intramedullary

positioner with connected trial extension stem. Fix
Prepare ML tibia positioner before assembly. Ensure that
positioner by using anterior excentric screw – note
the anterior fixation nose of the ML tibia positioner is
offset value. Determine best rotational position.
turned to open position (engraved line mark has to be in
anterior position) before impaction to avoid bending.
Option:
Check axis with rod inserted in the connected handle.
The tibial offset is:
T0/T0+ = ± 4 mm
T1-T5 = ± 6 mm
17
14
Option: Gap measurements
18 19
Option: Option:
Use distractor to measure the extension gap medial and If you want, use distractor to measure the flexion gap
lateral with trial tibia plateau and if needed hemi spacer medial and lateral with trial tibia plateau and if needed
below. If necessary perform release and measure again. hemi spacer below. If necessary perform release and
Note the values. measure again. Note the values.
The metal thickness of the trial tibia plateau is 5 mm.
20
Fix trial tibia plateau in correct rotational position with
two headed pins.
15
Preparation of the tibial box
21 22
▲
Please note: Connect ML rasp NQ667R with trial stem in corre-

sponding size (For tibia size 0: NQ666R). Impact up to
Using trial tibia plateau size T0/1/2 in cases with severe
its stop in the trial tibia plateau twice by turning the
bone loss medial and lateral it could be possible in the
rasp 180°.
following steps with drill with stop and box broach for
tibia box preparation to create in extreme cases a perfo-
ration of tibia. To avoid this it could be useful to perform
these steps with 5 mm trial hemi spacer med. and lat.
below the trial tibia plateau. The definitive tibia plateau
needs to have the same 5 mm hemi spacer below the
medial and lateral side.
Remove intramedullary guide and trial stem. Place tibia

box preparation guide NQ669R and drill guide NQ663R
on the plateau (For tibia size 0: NQ668R and NQ662R).
Perform two holes with the Ø 16 mm drill with stop
NQ661R by turning the drill guide 180°. As result you`ll
see binocular hole geometry.
16
23 25 26
Connect broach corresponding Impact broach-stem-assembly. Ensure that extension stem

to the trial tibia plateau and fixation screw on top of broach is slightly loose for stem
trialextension stem in corre- self guidance in ML. Impact up to its stop in the trial tibia
sponding size connected with plateau. Remove holder with handle by lifting up the guide
ML tibia stem connector NQ669R/NQ668R and move holder-handle-assembly
NQ833R slightly loose with anterior to release. Tight fixation screw to fix ML offset.
unlosable fixation screw inside
broach.
Connect handle with tibia
box broach holder NQ665R
(For tibia size 0: NQ664R)
and broach-stem-assembly.
24 27 28
Remove the two headed pins from trial tibia plateau.
A B C
A: Trial stem, B: NQ833R Tibia stem connector, C: Tibia broach 17
Preparation of the tibial box
29 30
Option: Option:
If tension of ligaments was not already measured before. If you want, use distractor to measure the flexion gap
medial and lateral with trial tibia plateau and if required
hemi spacer below. If necessary perform release and
Option:
measure again. Note the values.
Measure the extension gap medial and lateral with trial
tibia plateau and if required hemi spacer below.
If necessary perform release and measure again. Note
the values.
The metal thickness of the trial tibia plateau is 5 mm.
18
Operative steps – Femur First
Preparation of the femur
ML
31 32
Option: Determine distal femoral entry point for stepped drill

NP410R by using the X-rays. Drill in correct aligned
If you prefer femur first technique, you could start as
angle to respect the femoral curvation and e. g. other
described below:
bony details your patient has.
Determine femur size and requirement for distal and/or
Femur stem offset possibilities:
posterior spacers by using femur gauges.
ML: ± 2 mm
AP: ± 4 mm
33
Ream until reamer connected with handle NE198R has
stable fit and until required depth mark for femur
extension stems on reamer is reached.
Because of distal resection bone release, the reamer has
to be inserted deeper to ensure correct depth for stem.
19
Distal femur resection
Details:
B C
A D
34 35
Place alignment system NQ702R on the reamer. Select

correct angle. Connect distal femoral cutting guide
NQ701R in prox./dist. guide on top. Attach joint line
positioner NQ708R on cutting guide. Shift cutting guide
until positioner tip is in same position with mark on
anterior bone. If needed use mark as reference for proxi-
malisation or distalisation of cutting guide to find correct
level of joint line.
Option:
Check cuts with cutting check device NM350R.
Fix cutting guide with two headless and one headed pin
on anterior femur.
A B C D
A: Distal femur cutting guide NQ701R, B: Guide support NQ703R, C: Alignment system NQ702R, D: Handle NQ474R
20
B
36 38
Remove check device, joint line positioner, and Perform distal femoral cut. If needed cut additionally for
alignment system (by opening screw A and B) from distal femoral spacers in the correct slot.
femur.
▲
Reamer can remain in the intramedullary canal for Please note:

adjustment of further cuts.
Check if spacer height is in selected size for selected
femur size available.
37
21
Completing the femur resection
39 40
If cut for distal femur spacer was performed: Screw trial Place cutting guide with slided in requested femur
femoral spacer(s) behind 4-in-1 cutting guide to ensure adjustment sleeve (5° NQ705R and 7° NQ707R for
the correct distal position of the femoral cutting guide. cementless and 6° NQ706R for cemented extension
stems) inside on the reamer. Use check device in ant.
parallel cutting slot as reference to avoid anterior
notching.
Measure flexion gap. Dorsal geometry of femoral cutting
guide is corresponding with definitive femoral implant
measurements.
Option:
Connect handles to the cutting guide to adjust rotational
position.
41
Femoral rotation can also be adjusted by using trial
gliding surface in requested height with 4-in-1 cutting
guide.
22
42 43
Fix cutting guide in defined anterior/posterior position by Fix cutting guide in defined rotational position by tight-
tightening the distal screw. The now visible offset value is ening the horizontal screw.
just a rough information. The definitive offset value can
be read later on the assembly of trial femur and trial
Option:
stem.
Use check device in anterior parallel cutting slot as
reference to avoid anterior notching.
Option:
Use handle just on the opposite side of everted patella.
Use check device in anterior parallel cutting slot as
reference to avoid anterior notching.
44
Fix cutting guide in defined rotational position by using
two long headless pin through the holes of the handles.
Fix with one additional headless pin through distal hole
in cutting guide marked with L (left leg)/R (right leg).
Select your operated leg side.
23
Completing the femur resection
45 46
Ensure that cutting guide is in contact with distal femoral Option:

bone and – if needed trial distal spacer(s) are proper
You can cross check femur size and ML position by
tightened by fixation screw.
attaching the femur geometry check plate. By switching
from central hole to the medial or lateral one, you can
simulate the medialized or lateralized cementless stem
position.
3
4
2
47
Perform all femoral cuts in sequence below:
1. Anterior cut
2. Posterior cut (incl, spacer cut(s) if needed)
3. Posterior chamfer cut
4. Anterior chamfer cut
24
Preparation of the femoral box
Femur Femur
medialized lateralized
use implant with use implant with

lateralized stem medialized stem
48 50
Attach trial femoral prosthesis in correct size connected Fix trial femur with two head pin in this defined position.
with screwed on ML adjustment adapter with correct Remove adjustment device and reamer.
angle (5°/7° for cementless extension stems; 6° for
cemented) – if needed in neutral or with medial/lateral
offset – guided by the reamer on the bone until full bone
contact of inner femoral geometry.
49
Example:
If the trial femur switched to medial, the ML-offset-
adapter with correct angle (5°/7°) need to be attached on
the trial femur in offset version medial.
This femur-assembly has to be placed on the reamer until
complete bone contact of the inner femur geometry.
25
Preparation of the femoral box
51 52
Perform medial and lateral inner box cuts with oscillating To ensure optimal implant fit of the femoral extension
saw with small saw blade. stem perform medial and lateral rasp procedure to remove
all bone particles, by using rasp NQ832R with intercon-
If necessary use chisel to remove all bone particles.
nected trial stem in requested dimension.
Option:
Attach on trial femur the guide for proximal chisel box cut
NQ796R. Slide sizing device NQ795R in correct slot on the
chisel. Impact chisel NQ794R until stop.
26
Assembly of the femoral trial box
53
Assembly of femoral trial box:

Connect required femoral extension stem with proper
angle adapter sleeve (length code of adapter and trial
extension stem have to be the same). Place this assembly
on the proximal flat box surface. Tight fixation screw
from distal just slightly in the femoral trial box. Connect
handle with box impactor (spring ball has to be lateral)
with the trial box.
Example:
If the femur medialized like in the example before: the
result is that the stem is now in lateral position. So the
54 adapter (e. g. NS016R) with correct angle (5°/7°) has to
be selected in requested offset version medialized like
shown in the pink ring. This stem-assembly is now placed
on the proximal flat femur box surface.
▲
Please note:
The definitive stem implant has to correspond to the
stem-assembly. The version: medialized, neutral or later-
alized is on the adapter displayed. In the example left side
it shows in the green ring: The definitive Implant has to
be a lateralized stem.
55
Impact femoral-box-assembly until stop.
27
Assembly of the femoral trial box
56 58
Tight femur box fixation screw. Option:

Place trial polyethylene with correct size, trial post
(NP105 MC, NP106 HC) and height on the trial tibia
plateau with trial hemi spacer attached below. Check
joint stability in flexion and extension. If too lax select
higher polyethylene.
57
Tight trial femur extension stem AP-offset fixation screw
in this self centered position.
28
59 60
If a cemented extension stem procedure was selected, a

2 mm larger diameter must be reamed up to allow for the
cement layer. Alternatively, thinner extension stem can be
used (-2 mm). Reamers with Ø 14, 15, 17 and 20 mm are
available.
29
Preparation of the patella
61 63
The thickness of the patella is measured using the patella The drilling clamp NS841R is brought around the patella
foreceps NS840R. This thickness should not be exceeded and fixed. The peg holes are drilled with the diameter
after implantation of the patella implant (see table of 6 mm drill NE480R with stop.
measurements). There is also a caliper AA847R available.
The size of the patella is established with the four color
The aim should be to achieve same level or a reduction in
coded trial patellae implants.
patella thickness following implantation.
64
The implantation is performed with the same foreceps
using the fix inside curved adapter NS842 to press patella
and cemented patella implant together.
Bone cement has also to be in the three drilled peg holes.
62
The foreceps is set to chosen resection height. The
resection is performed through the cutting slot.
30
Assembling the final implants
Please note: To apply the requested torque, all implants which are tightened with defined torque
(Tibia-/Femur stem, PE fixation screw), tight three times with torque wrench!
65 67
Consider medial/lateral position of the trial tibia extension Option:

stem for assembling the definitive implants in same
Screw distal and posterior spacer in femoral implant.
alignment.
The ML stem position of the explanted trial tibia is the
Steps:
reference for assembling of the definitive implant.
1. Distal spacer
2. Posterior spacer
Use cranked wrench key NQ643R for posterior spacer with
ball shape side.
20 Nm The AP stem position of the explanted trial femur is the
reference for assembling of the definitive implant.
27 Nm
66
Select definitive implants.
Option: 68
Screw tibia hemi spacer below the tibia plateau.
Use torque wrench and stem holder NQ834R to screw
extension stem with 27 Nm with correct nut in the femur.
Use torque wrench NE184RM and tibia plateau holder
NQ835R to screw extension stem with 20 Nm below the
tibia in requested offset position.
31
Assembling the final implants
70
Click femur insert NQ561
inside femur holder NQ560R
and attach handle. Slide both
retaining fingers of the holder
inside the recesses of the femur
and tighten fixation screw.
69
Sequence of implantation
steps: 71
- Tibia plateau
- Femur
- Gliding surface
- Patella
Insert tibia plateau holder
NQ399RM into the tibia
plateau and spread until
stable fit. Tighten fixation
screw and connect handle.
72
Click defined poly into the tibia plateau by inserting in
first the two posterior noses diagonal. Then the two
anterior ones top down. After hardening of bone cement,
tight poly fixation screw, which is in same package with –
adapter NP450R.
32
73
Explosion view of the Columbus® Revision knee system trial instruments.
33
Implants
Columbus® Revision implant dimensions and design
7 sizes left/right
Bone cuts similar Columbus® primary
Femur box width always 25.5 mm
Hyperextension 4°
Flexion angle 130°
Measurements in [mm]
Size ML AP Box Box difference - Box difference + A B Height Width

F1 56 50 34 0 3 18.5 34 19 25.5
F2 59 53 37 3 3 20 36.5 20.5 25.5
F3 62.5 56.5 40 3 3.5 21.5 39.5 22 25.5
F4 66.5 60.5 43.5 3.5 4 23 42.5 22 25.5
F5 71 65 47.5 4 4.5 26 46 22 25.5
F6 76 70 52 4.5 5 28 49.5 22 25.5
F7 82 75.5 57 5 0 30 53.5 22 25.5
Cemented: 6°
Length: 77, 157 mm
ML offset: Neutral
Diameter: 12, 15, 18 mm
Cylindrical and polished
4 longitudinal grooves to avoid risk of embolism
Len
gth
Cementless: 5°/7°
Length: 117, 177 mm
ML offset: Neutral, Medialized, Lateralized
Diameter: 12 – 20 mm (steps of 1 mm)
Slightly tapered
10 longitudinal grooves (Wagner profile)
Len
gth
34
Nut for extension stems in neutral and offset version.
Distal spacer for F1 – F3: 5, 10 mm

Distal spacer for F4 – F7: 5, 10 and 15 mm
Dorsal spacer for F1 – F3: 5, 10 mm
Dorsal spacer for F4 – F7: 5, 10 and 15 mm
Each spacer is fixed by one screw
Cement pockets: 1 mm deep
Patellae Dimensions
D
Patella P0 27 mm x 7 mm
H
35
Implants
11 sizes
Seating for tibial extension stems
Offset: T0/T0+ = ± 4 mm, T1-T5 = ± 6 mm
Flexion angle 130°
Symmetric plateau design
Cemented
Size T0 T0+ T1 T1+ T2 T2+ T3 T3+ T4 T4+ T5

ML 62 62 65 65 70 70 75 75 80 80 85
AP 41 44 43 46 45 49 52 48 51 55 56
X 10.5 11 11.5 12.5 12.5 14 15.5 15.5 15.5 17 17
Cemented
Length: 52, 92 mm
Diameter: 12, 15, 18 mm
Cylindrical and polished
With asymmetric ‘collar’ for increased stability
3 longitudinal grooves to avoid risk of embolism
Cementless
Length: 92, 132 mm
Diameter: 11 – 20 mm (steps of 1 mm)
Slightly tapered
With asymmetric ‘collar’ for increased stability
10 longitudinal grooves (Wagner profile)
36
Spacer in 5, 10 and 15 mm
Screwed in from underneath
Anatomical medial or lateral design
Cement pockets 1 mm deep
Size T0 T1 T2 T3 T4 T5
AP 40.3 42.3 44.4 47.4 50.5 55.5
ML 24.8 26.3 28.8 31.1 33.8 36.3
ML
5 mm AP 5 mm ML 15 mm AP 15 mm ML
10 mm AP 10 mm ML
Columbus® Revision tibia spacer Tibia 0/0+ Tibia 1/1+ Tibia 2/2+ Tibia 3/3+ Tibia 4/4+ Tibia 5
Original ML dim. 62 65 70 75 80 85
With 2 tibia spacer 5 mm ML 58 61 66 71 76 81
Original AP dim. 41/44 43/46 45/49 48/52 51/55 56

With 2 tibia spacer 5 mm AP 40.3 42.3 44.4 47.4 50.5 55.5
37
Implants
PE Gliding surfaces Medium Constraint (MC) design

T0/0+ - T1/T1+ in 10, 12, 14, 16, 18, 20, 24 mm
T2/2+ - T3/T3+ in 10, 12, 14, 16, 18, 20, 24, 28 mm
T4/T4+ -T5 in 10, 12, 14, 16, 18, 20, 24, 28, 32 mm
Fixation by four noses to click in tibia plateau
Additional fixation screw (AS-coated)
PE Gliding surfaces High Constraint (HC) design

T0/0+ - T1/T1+ in 10, 12, 14, 16, 18, 20, 24 mm
T2/2+ - T3/T3+ in 10, 12, 14, 16, 18, 20, 24, 28 mm
T4/T4+ -T5 in 10, 12, 14, 16, 18, 20, 24, 28, 32 mm
Fixation by four noses to click in tibia plateau
Additional fixation screw (AS-coated)
Combination options
Possible Combination Femur/Tibia

Types: F1 F2 F3 F4 F5 F6 F7
T0/T0+ OK OK OK + + + +
T1/T1+ OK OK OK OK + + +
T2/T2+ – OK OK OK OK + +
T3/T3+ – – OK OK OK OK +
T4/T4+ – – + OK OK OK OK
T5 – – + + OK OK OK
– not compatible
+ possible, but not recommended by Aesculap
Torque information:
27 Nm for femur extension stems
20 Nm for tibia extension stems
10 Nm for PE fixation screw
38
Material overview
2 2
2
3
3
2
4
5
2
2 2
1
2
1 CoCrMo (casting alloy)

2 CoCrMo (wrought alloy) 2
3 UHMWPE 2
4 PEEK Optima (LT1)
5 Ti6Al4V
CoCrMo (casting alloy) Cobalt-chromium-molybdenum casting

alloy according to ISO 5832-4
CoCrMo (wrought alloy) Wrought cobalt-chromium-molybdenum
alloy according to ISO 5832-12
UHMWPE Ultra-high molecular weight polyethylene
according to ISO 5834-2
PEEK Optima (LT1) Medical Grade Polyetheretherketone
(provided by Invibio)
Ti6Al4V Wrought titanium 6-aluminium
4-vanadium alloy according to ISO 5832-3
39
Implants
Compact matrix of implants – Femur components
Femur, cemented Possible Combination Femur/Tibia

27 Nm for femur stems
Femur F1 F2 F3 F4 F5 F6 F7 Types: F1 F2 F3 F4 F5 F6 F7
Left NR001K NR002K NR003K NR004K NR005K NR006K NR007K T0/T0+ OK OK OK + + + +
Right NR011K NR012K NR013K NR014K NR015K NR016K NR017K T1/T1+ OK OK OK OK + + +
Femur stems, cemented, 6°
T5 – – + + OK OK OK
Ø 12 mm Ø 15 mm Ø 18 mm – not compatible
Femur 77 mm 157 mm 77 mm 157 mm 77 mm 157 mm + possible, but not recommended by Aesculap
F1-F7 NR291K NR294K NR292K NR295K NR293K NR296K
Femur stems, cementless, 5°/7°
Ø 12 mm Ø 13 mm Ø 14 mm Ø 15 mm Ø 16 mm
Femur 117 mm 177 mm 117 mm 177 mm 117 mm 177 mm 117 mm 177 mm 117 mm 177 mm
F1-F7 5˚ Neut NR402K NR432K NR403K NR433K NR404K NR434K NR405K NR435K NR406K NR436K
F1-F7 5˚ Med NR412K NR442K NR413K NR443K NR414K NR444K NR415K NR445K NR416K NR446K
F1-F7 5˚ Lat NR422K NR452K NR423K NR453K NR424K NR454K NR425K NR455K NR426K NR456K
F1-F7 7˚ Neut NR502K NR532K NR503K NR533K NR504K NR534K NR505K NR535K NR506K NR536K
F1-F7 7˚ Med NR512K NR542K NR513K NR543K NR514K NR544K NR515K NR545K NR516K NR546K
F1-F7 7˚ Lat NR522K NR552K NR523K NR553K NR524K NR554K NR525K NR555K NR526K NR556K
Ø 17 mm Ø 18 mm Ø 19 mm Ø 20 mm
Femur 117 mm 177 mm 117 mm 177 mm 117 mm 177 mm 117 mm 177 mm
F1-F7 5˚ Neut NR407K NR437K NR408K NR438K NR409K NR439K NR410K NR440K
F1-F7 5˚ Med NR417K NR447K NR418K NR448K NR419K NR449K NR420K NR450K
F1-F7 5˚ Lat NR427K NR457K NR428K NR458K NR429K NR459K NR430K NR460K
F1-F7 7˚ Neut NR507K NR537K NR508K NR538K NR509K NR539K NR510K NR540K
F1-F7 7˚ Med NR517K NR547K NR518K NR548K NR519K NR549K NR520K NR550K
F1-F7 7˚ Lat NR527K NR557K NR528K NR558K NR529K NR559K NR530K NR560K
Please note: If e. g. a offset stem adapter type 7° ‘medial stem’ was selected, the definitive implant must be selected in version 7° ‘medialized’.
Femur spacer distal Femur spacer posterior Femur nut for

with screw with screw ext. stems
Femur 5 mm 10 mm 15 mm 5 mm 10 mm 15 mm Femur types Neutral Offset
F1 NR461K NR471K - NR561K NR571K - F1-F7 NR400K NR401K
F2 NR462K NR472K - NR562K NR572K -
F3 NR463K NR473K - NR563K NR573K - Patella 3-Peg
F4 NR464K NR474K NR484K NR564K NR574K NR584K
F5 NR465K NR475K NR485K NR565K NR575K NR585K P0 P1 P2 P3
F6 NR466K NR476K NR486K NR566K NR576K NR586K Ø 27 mm 30 mm 33 mm 36 mm
F7 NR467K NR477K NR487K NR567K NR577K NR587K F1-F7 NN481 NN482 NN483 NN484
40
Compact matrix of implants – Tibia components
Tibia, cemented Possible Combination Femur/Tibia

20 Nm for tibia stems
Tibia T0 T0+ T1 T1+ T2 T2+ Types: F1 F2 F3 F4 F5 F6 F7
NR070K NR068K NR071K NR072K NR073K NR074K T0/T0+ OK OK OK + + + +
Tibia T3 T3+ T4 T4+ T5 T1/T1+ OK OK OK OK + + +
NR075K NR076K NR077K NR078K NR079K T2/T2+ – OK OK OK OK + +
Tibia offset stems, cemented
Ø 12 mm Ø 15 mm Ø 18 mm T5 – – + + OK OK OK
Femur 52 mm 92 mm 52 mm 92 mm 52 mm 92 mm – not compatible
T0-T5 NR191K NR194K NR192K NR195K NR193K NR196K + possible, but not recommended by Aesculap
Tibia offset stems, cementless
Tibia 92 mm 132 mm 92 mm 132 mm 92 mm 132 mm 92 mm 132 mm 92 mm 132 mm
T0-T5 NR171K NR181K NR172K NR182K NR173K NR183K NR174K NR184K NR175K NR185K
Tibia 92 mm 132 mm 92 mm 132 mm 92 mm 132 mm 92 mm 132 mm 92 mm 132 mm
PE Gliding Surface Medium Constraint

with screw/10 Nm for PE
Femur 10 mm 12 mm 14 mm 16 mm 18 mm 20 mm 24 mm 28 mm 32 mm
T0/T0+ NR100M NR101M NR102M NR103M NR104M NR105M NR106M - -
T2/T2+ NR120M NR121M NR122M NR123M NR124M NR125M NR126M NR127M -
T4/T4+ NR140M NR141M NR142M NR143M NR144M NR145M NR146M NR147M NR148M
T5 NR150M NR151M NR152M NR153M NR154M NR155M NR156M NR157M NR158M
PE Gliding Surface High Constraint

with screw/10 Nm for PE
Femur 10 mm 12 mm 14 mm 16 mm 18 mm 20 mm 24 mm 28 mm 32 mm
T4/T4+ NR640M NR641M NR642M NR643M NR644M NR645M NR646M NR647M NR648M
T5 NR650M NR651M NR652M NR653M NR654M NR655M NR656M NR657M NR658M
Tibial hemi-spacer RM/LL Tibial hemi-spacer RL/LM

with screws with screws
Tibia 5 mm 10 mm 15 mm 5 mm 10 mm 15 mm
T0/T0+ NR040K NR041K NR042K NR240K NR241K NR242K
T5 NR060K NR061K NR062K NR260K NR261K NR262K 41
Implants
Implant ordering details
Standard version AS version
Femur
Standard AS
NR001K NR001Z Femur F1, left
NR011K NR011Z Femur F1, right
Femur spacer distal, with screw

Standard AS
NR461K NR461Z Femur spacer, distal, F1 5 mm
NR464K NR464Z Femur spacer, distal, F4 5 mm NR466K NR466Z Femur spacer, distal, F6 5 mm
Femur spacer posterior, with screw

Standard AS
NR561K NR561Z Femur spacer, posterior, F1 5 mm
NR564K NR564Z Femur spacer, posterior, F4 5 mm NR566K NR566Z Femur spacer, posterior, F6 5 mm
42
Femur offset stems, cemented, 6°
Standard AS
NR291K NR291Z Femur stem, 6°, 12 x 77 mm, cemented
Femur stem nut, neutral and offset

Standard AS
NR400K NR400Z Femur extension stem nut, neutral
NR401K NR401Z Femur extension stem nut, offset
Patellae
NN481 Patella, P0, Ø 27 x 7 mm

Femur extension stems, cementless, 5° neutral

Standard AS
NR402K NR402Z Femur stem, 5°, 12 x 117 mm, cementless
43
Implants
Femur extension stems, cementless, 5° medialized

Standard AS
Femur extension stems, cementless, 5° lateralized

Standard AS
44
Femur extension stems, cementless, 7° neutral
Standard AS
Femur extension stems, cementless, 7° medialized

Standard AS
45
Implants
Femur extension stems, cementless, 7° lateralized

Standard AS
NR526K NR526Z Femur stem, 7°, 16 x 117 mm, cementless NR558K NR558Z Femur stem, 7°, 18 x 177 mm, cementless
Tibia plateau, cemented

Standard AS
NR070K NR070Z Tibia T0
NR068K NR068Z Tibia T0+
Tibia spacer, cemented with screws

Standard AS
NR240K NR240Z Tibia spacer, RL/LM, T0/T0+, 5 mm
NR250K NR250Z Tibia spacer, RL/LM, T2/T2+, 15 mm NR257K NR257Z Tibia spacer, RL/LM, T4/T4+, 10 mm
NR252K NR252Z Tibia spacer, RL/LM, T3/T3+, 5 mm NR258K NR258Z Tibia spacer, RL/LM, T4/T4+, 15 mm
NR253K NR253Z Tibia spacer, RL/LM, T3/T3+, 10 mm NR260K NR260Z Tibia spacer, RL/LM, T5, 5 mm
46
Tibia spacer, cemented with screws
Standard AS
NR040K NR040Z Tibia spacer, RM/LL, T0/T0+, 5 mm
NR050K NR050Z Tibia spacer, RM/LL, T2/T2+, 15 mm NR057K NR057Z Tibia spacer, RM/LL, T4/T4+, 10 mm
NR052K NR052Z Tibia spacer, RM/LL, T3/T3+, 5 mm NR058K NR058Z Tibia spacer, RM/LL, T4/T4+, 15 mm
NR053K NR053Z Tibia spacer, RM/LL, T3/T3+, 10 mm NR060K NR060Z Tibia spacer, RM/LL, T5, 5 mm
PE Gliding surface Medium Constraint (MC) with screw

NR100M Gliding surface, T0/T0+, 10 mm
NR111M Gliding surface, T1/T1+, 12 mm NR136M Gliding surface, T3/T3+, 24 mm
NR125M Gliding surface, T2/T2+, 20 mm NR150M Gliding surface, T5, 10 mm
47
Implants
PE Gliding surface High Constraint (HC) with screw

NR650M Gliding surface, T5, 10 mm
48
Tibia offset stems, cemented
Standard AS
NR191K NR191Z Tibia stem, 12 x 52 mm, cemented

Standard AS
NR171K NR171Z Tibia stem, 11 x 92 mm, cementless
49
Instruments
Overview of instruments, X-ray templates and saw blades
Columbus® Revision instruments
NQ600 Columbus® Revision F Instrumentation CLP.

NQ601 Columbus® Revision F Set General Instruments
NQ602 Columbus® Revision F Set Manual Femur Instr.
NQ603 Columbus® Revision F Set Manual Tibia Instr.
NQ604 Columbus® Revision F Set Femoral Preparation
NQ605 Columbus® Revision F Set Trial Tibial Comp.
NQ606 Columbus® Revision F Set Trial Femoral Comp. L
NQ607 Columbus® Revision F Set Trial Femoral Comp. R
NQ608 Columbus® Revision F Set Trial Tibia Spacer
NQ609 Columbus® Revision F Set Stem Prep. Cemented
NQ610 Columbus® Revision F Set Stem Prep. Cementless
NQ611 Columbus® Revision F Set Patella Preparation
NQ612 Columbus® Revision F Set Tibial Instruments Size 0
OrthoPilot® TKR – Navigation instruments sets
NQ596 Active
NQ594 Passive
NQ29
2
Femu
X-ray templates Scale
1,1:1
r stem
s cem
e nted
Colum
Scale
1,1:1
CENTIM
bus R
evis ion
on 6° −
evisi
ETE
bus R
RS (Sca
um
r Col
157
2
Femu
2
NQ29 7
le is enla
6
3
Y
NQ292 Set of X-ray templates, scale 1.10:1 2:1 5
rged to
0
4
CENTIM
1
templat
5
ETERS
2
e magnific
F7L
6
(Sca
3
2
Y
atio
le is enla
NQ293 Set of X-ray templates, scale 1.15:1

7
4
n)
2
rged to
5
8
M L
templat
6
77
9
e magnific
7
10
NQ289 Axis planning

11
ation)
9
12
X
10 Ø12
2:1
Ø15
13
11 Ø18
3 3
14
12 0
1mm
increment
15
13
X 0
14 5
15 10
16
N
15 P
17
Columbus® Revision marketing tools 16

18
15
10
17
5
NQ29
2214
18
B BR AUNTISE
EXPER B BRAU
SHARING
SHARING N
EXPER
TISE
O90602 Brochure NQ29

2203
O37702 Surgical technique
O35511 OR Poster (main surgical steps)
M07811 DVD Navigated Columbus® Revision
50
Saw blades overview
9 mm 13 mm 13 mm 19 mm 23 mm
■ Thickness:
1.27 mm
10 10
8 mm 10
Connection Aesculap Aesculap

Acculan® 3 Ti
Width/
Length
90
80
9 mm/ 75 mm GE231SU - - - - -
13 mm/ 90 mm - GE233SU GE236SU - - GE266SU
19 mm/ 90 mm - - - GE241SU - GE271SU
23 mm/ 90 mm - - - - GE246SU -
23 mm/100 mm - - - - GE249SU -
25 mm/ 90 mm - - - - - GE276SU
13 mm 19 mm 25 mm
■ Thickness:
1.27 mm
Connection Stryker Conmed/ Synthes

System 4+5 Linvatec/Hall
Width/ System 2000 PowerPro
Length
Versipower plus
9 mm/ 75 mm - - -
13 mm/ 90 mm GE320SU GE327SU GE323SU
19 mm/ 90 mm - - -
23 mm/ 90 mm - - -
23 mm/100 mm - - -
25 mm/ 90 mm GE322SU GE329SU GE326SU
51
Instruments
Compact overview of instruments
NQ601 General Instruments NQ602 Manual Femur Instruments NQ603 Manual Tibia Instruments
NQ601 General Instruments NQ602 Manual Femur Instruments NQ603 Manual Tibia Instruments
NQ604 Femoral Preparation NQ605 Trial Tibial Components NQ606 Trial Femoral
Components Left
NQ607 Trial Femoral NQ608 Trial Tibia Spacer NQ609 Stem Preparation
Components Right Cemented
52
NQ610 Stem Preparation NQ611 Patella Preparation NQ612 Tibial Instruments
Cementless Set 1/2 Size 0
NQ610 Stem Preparation

Cementless Set 2/2
53
Instruments
Overview of instruments
NQ601 Columbus® Revision F General Instruments
NQ601 Columbus® Revision F General Instruments
54
NQ602 Columbus® Revision F Manual Femur Instruments
NQ602 Columbus® Revision F Femoral Preparation
55
Instruments
NQ603 Columbus® Revision F Manual Tibia Instruments
NQ603 Columbus® Revision F Manual Tibia Instruments
56
NQ604 Columbus® Revision F Femoral Preparation
NQ605 Columbus® Revision F Trial Tibial Components
57
Instruments
NQ606 Columbus® Revision F Trial Femoral Components Left
NQ607 Columbus® Revision F Trial Femoral Components Right
58
NQ608 Columbus® Revision F Trial Tibia Spacer
NQ609 Columbus® Revision F Stem Preparation Cemented
59
Instruments
NQ610 Columbus® Revision F Stem Preparation Cementless Set 1/2
NQ610 Columbus® Revision F Stem Preparation Cementless Set 2/2
60
NQ611 Patella Preparation
NQ612 Columbus® Revision F Tibial Instruments Size 0
61
Instruments
NQ594 Passiv OrthoPilot® TKR – Navigation instruments sets
NP617RM FS604 NE191801 NE162R NP618R NM743

Tibia checkplate Pointer, 0° RB-adapter RB offset-adapter, Screw driver elastic footstrap
100 mm on motor
NP615R
Drill, Ø 3.2 mm
FS633
Transmitter, yellow
NE292R
Screw-tap for
Tibia-RB
FS634
NE199R Transmitter, blue
Adapter for
T-handle
NE163R FS635
RB C-hook, small Transmitter, red
NE191R NQ595R
RB C-hook Storage
NE192R
Tibia Rev.-RB
Sliding block NE171R NE324T NM769R NE441RM
NE190R 0° for tibia cutting guide Rev. adapter, Orienting Base plate Post. footplate, left
NE445R 5° for femur cutting guide link cutting block NE442RM
NE446R 6° for femur cutting guide guides Post. footplate, right
NE447R 7° for femur cutting guide
62
63
✂
Columbus ® Revision Implant Matrix – Femoral Components
Femur, cemented
27 Nm for femur stems Possible Combination Femur/Tibia
Types: F1 F2 F3 F4 F5 F6 F7 Types: F1 F2 F3 F4 F5 F6 F7
Left NR001K NR002K NR003K NR004K NR005K NR006K NR007K T0/T0+ OK OK OK + + + +
Right NR011K NR012K NR013K NR014K NR015K NR016K NR017K T1/T1+ OK OK OK OK + + +
T5 – – + + OK OK OK
Femur stems, cemented, 6°
– not compatible
Ø 12 mm Ø 15 mm Ø 18 mm + possible, but not recommended by Aesculap
Types: 77 mm 157 mm 77 mm 157 mm 77 mm 157 mm
F1-F7 NR291K NR294K NR292K NR295K NR293K NR296K
Femur stems, cementless, 5°/7°

Ø 12 mm Ø 13 mm Ø 14 mm Ø 15 mm Ø 16 mm Ø 17 mm Ø 18 mm Ø 19 mm Ø 20 mm
Types: 117 mm 177 mm 117 mm 177 mm 117 mm 177 mm 117 mm 177 mm 117 mm 177 mm 117 mm 177 mm 117 mm 177 mm 117 mm 177 mm 117 mm 177 mm
F1-F7 5° Neut NR402K NR432K NR403K NR433K NR404K NR434K NR405K NR435K NR406K NR436K NR407K NR437K NR408K NR438K NR409K NR439K NR410K NR440K
F1-F7 5° Med NR412K NR442K NR413K NR443K NR414K NR444K NR415K NR445K NR416K NR446K NR417K NR447K NR418K NR448K NR419K NR449K NR420K NR450K
F1-F7 5° Lat NR422K NR452K NR423K NR453K NR424K NR454K NR425K NR455K NR426K NR456K NR427K NR457K NR428K NR458K NR429K NR459K NR430K NR460K
F1-F7 7° Neut NR502K NR532K NR503K NR533K NR504K NR534K NR505K NR535K NR506K NR536K NR507K NR537K NR508K NR538K NR509K NR539K NR510K NR540K
F1-F7 7° Med NR512K NR542K NR513K NR543K NR514K NR544K NR515K NR545K NR516K NR546K NR517K NR547K NR518K NR548K NR519K NR549K NR520K NR550K
F1-F7 7° Lat NR522K NR552K NR523K NR553K NR524K NR554K NR525K NR555K NR526K NR556K NR527K NR557K NR528K NR558K NR529K NR559K NR530K NR560K
Please note: If e. g. a offset stem adapter type 7° ‘medial stem’ was selected, the definitive implant must be selected in version 7° ‘medialized’.
Femur spacer distal Femur spacer posterior Femur nut for

with screw with screw ext. stems
Types: 5 mm 10 mm 15 mm 5 mm 10 mm 15 mm Types: Neutral Offset
F1 NR461K NR471K – NR561K NR571K – F1-F7 NR400K NR401K
F2 NR462K NR472K – NR562K NR572K –
F3 NR463K NR473K – NR563K NR573K –
F4 NR464K NR474K NR484K NR564K NR574K NR584K
F5 NR465K NR475K NR485K NR565K NR575K NR585K Patella 3-Peg
F6 NR466K NR476K NR486K NR566K NR576K NR586K P0 P1 P2 P3
F7 NR467K NR477K NR487K NR567K NR577K NR587K Types: Ø 27 mm Ø 30 mm Ø 33 mm Ø 36 mm
F1-F7 NN481 NN482 NN483 NN484
✂
Columbus ® Revision Implant Matrix – Tibial Components
Tibia, cemented
20 Nm for tibia stems Possible Combination Femur/Tibia
Types: T0 T0+ T1 T1+ T2 T2+ T3 T3+ T4 T4+ T5 Types: F1 F2 F3 F4 F5 F6 F7
NR070K NR068K NR071K NR072K NR073K NR074K NR075K NR076K NR077K NR078K NR079K T0/T0+ OK OK OK + + + +
T1/T1+ OK OK OK OK + + +
Tibia offset stems, cemented T4/T4+ – – + OK OK OK OK
Ø 12 mm Ø 15 mm Ø 18 mm T5 – – + + OK OK OK
Types: 52 mm 92 mm 52 mm 92 mm 52 mm 92 mm – not compatible
F0-F5 NR191K NR194K NR192K NR195K NR193K NR196K + possible, but not recommended by Aesculap
Types: 92 mm 132 mm 92 mm 132 mm 92 mm 132 mm 92 mm 132 mm 92 mm 132 mm
Types: 92 mm 132 mm 92 mm 132 mm 92 mm 132 mm 92 mm 132 mm 92 mm 132 mm
PE Gliding Surface Medium Constraint PE Gliding Surface High Constraint
with screw/10 Nm for PE with screw/10 Nm for PE
Types: 10 mm 12 mm 14 mm 16 mm 18 mm 20 mm 24 mm 28 mm 32 mm 10 mm 12 mm 14 mm 16 mm 18 mm 20 mm 24 mm 28 mm 32 mm
T0/0+ NR100M NR101M NR102M NR103M NR104M NR105M NR106M – – NR600M NR601M NR602M NR603M NR604M NR605M NR606M – –
T1/1+ NR110M NR111M NR112M NR113M NR114M NR115M NR116M – – NR610M NR611M NR612M NR613M NR614M NR615M NR616M – –
T2/2+ NR120M NR121M NR122M NR123M NR124M NR125M NR126M NR127M – NR620M NR621M NR622M NR623M NR624M NR625M NR626M NR627M –
T3/3+ NR130M NR131M NR132M NR133M NR134M NR135M NR136M NR137M – NR630M NR631M NR632M NR633M NR634M NR635M NR636M NR637M –
T4/4+ NR140M NR141M NR142M NR143M NR144M NR145M NR146M NR147M NR148M NR640M NR641M NR642M NR643M NR644M NR645M NR646M NR647M NR648M
T5 NR150M NR151M NR152M NR153M NR154M NR155M NR156M NR157M NR158M NR650M NR651M NR652M NR653M NR654M NR655M NR656M NR657M NR658M
Tibia Hemi Spacer RM/LL with screws Tibia Hemi Spacer RL/LM with screws
Types: 5 mm 10 mm 15 mm 5 mm 10 mm 15 mm
T0/0+ NR040K NR041K NR042K NR240K NR241K NR242K
T5 NR060K NR061K NR062K NR260K NR261K NR262K
The main product trademark ‘Aesculap’ and
the product trademarks ‘Acculan’, ‘Columbus’
and ‘OrthoPilot’ are registered trademarks of
Aesculap AG.
Subject to technical changes. All rights reserved.

This brochure may only be used for the exclusive
Aesculap AG | Am Aesculap-Platz | 78532 Tuttlingen | Germany purpose of obtaining information about our
products. Reproduction in any form partial or
Phone +49 7461 95-0 | Fax +49 7461 95-26 00 | www.aesculap.com otherwise is not permitted.
Aesculap – a B. Braun company Brochure No. O37702 0613/0.5/1

Columbus Revision

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Columbus Revision

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Aesculap® Columbus® Revision

Tibia First and Femur First

Based on the very successful design of the Columbus® knee

Brief instructions for operative steps 6

Operative steps – Tibia First 8

Option: Applying reference marks 8

Preparation of the tibia 9

Tibial resection variants 10

Determining the size of the tibial components 13

Option: Gap measurements 15

Preparation of the tibial box 16

Preparation of the femur – Option: Femur First 19

Distal femur resection 20

Completing the femur resection 22

Preparation of the femoral box 25

Assembly of the femoral trial box 27

Preparation of the patella 30

Assembling the final implants 31

Columbus® Revision implant dimensions and design 34

Compact matrix of implants 40

Implant ordering details (for CoCr and AS version) 42

Overview of instruments, X-ray templates and saw blades 50

Compact overview of instruments 52

Compact matrix of implants (for cutting out) 64

To achieve a succsessful treatment with the Columbus® Revision Indication:

For more information about indication and contra-

Please note: Tibial planning: Femoral planning:

Define correct entry point for stepped drill NP410R and

Perform tibia cut. Option:

If needed you have the opportunity to simulate joint

Please note: below on the tibia plateau. Insert intramedullary

Please note: Connect ML rasp NQ667R with trial stem in corre-

Remove intramedullary guide and trial stem. Place tibia

Connect broach corresponding Impact broach-stem-assembly. Ensure that extension stem

Option: Determine distal femoral entry point for stepped drill

Place alignment system NQ702R on the reamer. Select

Reamer can remain in the intramedullary canal for Please note:

Ensure that cutting guide is in contact with distal femoral Option:

use implant with use implant with

Assembly of femoral trial box:

Tight femur box fixation screw. Option:

If a cemented extension stem procedure was selected, a

Consider medial/lateral position of the trial tibia extension Option:

Size ML AP Box Box difference - Box difference + A B Height Width

Distal spacer for F1 – F3: 5, 10 mm

Size T0 T0+ T1 T1+ T2 T2+ T3 T3+ T4 T4+ T5

Original AP dim. 41/44 43/46 45/49 48/52 51/55 56

PE Gliding surfaces Medium Constraint (MC) design

PE Gliding surfaces High Constraint (HC) design

Possible Combination Femur/Tibia

1 CoCrMo (casting alloy)

CoCrMo (casting alloy) Cobalt-chromium-molybdenum casting

Femur, cemented Possible Combination Femur/Tibia

Femur stems, cementless, 5°/7°

Femur spacer distal Femur spacer posterior Femur nut for

Tibia, cemented Possible Combination Femur/Tibia

Tibia offset stems, cementless

PE Gliding Surface Medium Constraint

PE Gliding Surface High Constraint

Tibial hemi-spacer RM/LL Tibial hemi-spacer RL/LM

Standard version AS version

Femur spacer distal, with screw

Femur spacer posterior, with screw